Ele vevie ŋutɔ be nyɔnu ɖesiaɖe si le drɔ̃e kum be yeazu vidada la nase eƒe ŋutilã gɔme nyuie. Ne míele nu ƒom tso míaƒe vidzidziŋutete ŋu la, zi geɖe la, míeƒoa nu tso vidzidɔ kple azigolowo ŋu. Gake ame geɖe menya nu boo aɖeke tso ‘fallopian tubes’ siwo wɔa akpa vevi aɖe ŋutɔ le wo dome ŋu o. Ðewohĩ èse ŋkɔ sia tso ɖɔkta aɖe gbɔ kpɔ, alo ɖewohĩ èsee ne wole nu ƒom tso dodokpɔ siwo wowɔna ne etsi megbe akpa be woadzi vi ŋu. Eyata nuka tututue nye vidzidɔ siawo? Aleke gbegbee wole vevie le vifɔfɔ me? Míaƒo nu tso nusiawo katã ŋu bɔbɔe ŋutɔ egbea, le mɔ si gɔme nàte ŋu ase nu.
Kpuie ko la, nukawoe nye vidzidɔ siawo?
Kpɔe ɖa le susu me be wò vidzidzi ƒe ɖoɖoa nye du si me vovo mele o ŋutɔ. Azigolo siwo le du sia me nye dɔwɔƒe eve siwo wɔa azi. Vidzidɔe nye aƒe si me azi ma, tsɔ kpe ɖe tsinyenye ŋu, wɔa fugboe si tsina dedie hena ɣleti 9. Eyata, ele be mɔ aɖe nanɔ anyi tso dɔwɔƒe sia ayi aƒea mea? To mɔ sia dzi la, tɔdzisasrã mae nye vidzidɔ ƒe ʋukawo .
Esiawo nye lãmeka sue eve siwo doa ka kple wò azigolowo kple vidzidɔ, le wò vidzidɔa ƒe akpa eveawo. Menye mɔ̃ ɖesiaɖe koe esiawo nye o. Vidzidɔ siawoe nye kalẽtɔwo le vifɔfɔ ƒe ɖoɖoa me.
Na míakpɔ alesi wòawɔe ɖa. Vidzidɔ ƒe ʋukawo wɔa dɔ vevi etɔ̃:
1. Teƒe si woxɔ azi la le: Ɣleti sia ɣleti, abe wò dzinukpɔkpɔ ƒe akpa aɖe ene la, azi tsitsi aɖe dona tso azigolo me. Le ɣeyiɣi sia me la, nu suesuesue siwo le abe asibidɛ ene (siwo woyɔna be `fimbriae`) siwo le vidzidɔa ƒe nuwuwu si te ɖe azigolo ŋu la léa azi la blewuu hehenɛ yia mɔ̃a me. Emegbe azi la nɔa mɔ̃a me vaseɖe esime tsinyenye aɖe va ɖo.
2. Afisi vidzidzi dzɔna le: Ne mia kple wò zɔhɛ miedɔ kple wo nɔewo la, tsinyenye toa vidzidɔ, vidzidɔ, kple vidzidɔ me gena ɖe vidzidɔa me. Ne tsinyenye do go azi si le lalam le mɔ̃a me la, vidzidzi ƒe nukunu la dzɔna. Esia fia be womeɖea afɔ gbãtɔ siwo le vidzĩ ƒe agbe me le vidzidɔa me o, ke boŋ le vidzidɔ me.
3. Mɔ si le dɔ wɔm si tsɔa azi si wodzi la yia vidzidɔa me: Menye ɖeko fugboe si dzɔna ne azi kple tsinyenye wɔ ɖeka la tsia tsia me yia vidzidɔa me ko o. Lãmetsi falɛfalɛ siwo le vidzidɔa ƒe gliwo me la ƒoa ke eye fu suesuesue siwo le eme (cilia) ʋãna, abe `conveyor belt` ene, eye wotua fugboe sia nyuie yia vidzidɔa gbɔ le ŋkeke geɖe me. Ne eɖo vidzidɔa gbɔ ko hafi wòdea eɖokui vidzidɔa ƒe gli me eye wòdzea tsitsi gɔme zua vidzĩ.
Fifia èse egɔme be menye ʋuka eve koe vidzidɔ ƒe ʋukawo nye o, gake aleke gbegbee wonye ŋutinu vevi aɖee na vidzidzi? Ne mɔzɔzɔ sia ƒe akpa aɖe meva yi nyuie o la, ate ŋu asesẽ be woafɔ fu.
Mina míasrɔ̃ nu geɖe tso vidzidɔ ƒe wɔwɔme kple afisi wòle ŋu vie.
Mina míalé ŋku ɖe ŋutinu sia ŋu tsitotsito vie.
Afikae amesiawo le?
Vidzidɔ ƒe mɔ̃ eve le wò vidzidɔa tame, ɖeka le ɖusime eye ɖeka le miame. Eƒe nugbɔ ɖeka do ƒome kple vidzidɔa, eye eƒe nugbɔ evelia ʋuna le azigoloa gbɔ.
Vidzidɔ ƒe mɔ̃ ƒe akpa aɖewo
Tube sia didi abe sentimeta 4-5 ene. Akpa vevi ene le eŋu. Tso azigolo me va ɖo vidzidɔa me la, akpa siawo le ale:
- Infundibulum: Akpa si le abe funnel ene si te ɖe azigolo ŋu wu. Afi siae `fimbriae' siwo le abe asibidɛ ene siwo léa azi la le.
- Ampulla: Tube la ƒe akpa si didi wu eye wòkeke wu. Zi geɖe la, vidzidzi dzɔna le akpa sia.
- Isthmus: Mɔ xaxɛ si ƒoa ampulla kple akpa si te ɖe vidzidɔa ŋu wu la nu ƒu.
- Intramural/Interstitial portion: Nuwuƒe si keke to vidzidɔa ƒe gli me eye wòʋuna yia vidzidɔa me. Fugboe si wodzi vi la toa esia dzi gena ɖe vidzidɔa me.
Nukae wotsɔ wɔ esiawoe?
Akpa eve koŋue le vidzidɔa ƒe gli ŋu:
1. Mucous membrane: Lãmetsi tsɛ si le fli me le mɔ̃a ƒe eme. Eɖea tsi aɖe si naa tsi kple nunyiame hena vidzidzi kple fugboea ƒe tsitsi kaba. Taɖa nyui akpe geɖe (cilia) hã le esi siwo ʋãa azi, tsinyenye, kple fugboe yia vidzidɔa gbɔ.
2. Lãmetsiwo ƒe ƒuƒoƒo: Lãmetsiwo ƒe ƒuƒoƒo siawo kpena ɖe ame ŋu be mɔ̃a me nuwo nayi vidzidɔa gbɔ to ɣeyiɣi ƒe didime ƒe ʋuʋu (peristalsis) me, abe alesi nuɖuɖutome wɔnɛ ne míemi nuɖuɖu ene.
Kuxi kple nɔnɔme siwo bɔ siwo ate ŋu ado mo ɖa le vidzidɔ ƒe ʋukawo ŋu
Vidzidɔ ƒe ʋukawo ƒe dɔmawɔmawɔ nyuie nye nu vevi aɖe si hea vidzidzi vɛ. Srɔ̃tɔ siwo mate ŋu adzi vi o ƒe 20-30% lɔƒo tso kuxi aɖe ƒomevi si le vidzidɔ ƒe ʋukawo ŋu gbɔ. Na míalé ŋku ɖe kuxi siawo siwo bɔ la dometɔ aɖewo ŋu.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe |
|---|---|
| Fufɔfɔ si le Vidzidɔa godo | Fugboe si me vidzidɔ le la dea vidzidɔa me eye wòtsina ɖe vidzidɔa me ɖe vidzidɔa teƒe. Esia nye nudzɔdzɔ kpata si me afɔku le ŋutɔ, si ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã . Tube la ate ŋu agbã eye wòana ʋu nado le ememe vevie. |
| Endometriosis ƒe dɔléle | Lãmetsi siwo wòle be wòanɔ vidzidɔa ƒe gli ememetɔ me la tsina le vidzidɔa godo, le teƒewo abe vidzidɔ ƒe ʋukawo, azigolowo, kple bubuawo ene Esia ate ŋu ana ʋukawo naxe, abi naɖo wo ŋu, eye woaxe mɔ na vidzidzi, si ate ŋu ado kplamatse vidzidzi. |
| Akɔta ƒe Dɔléle (PID) . | Gbɔdɔdɔ ƒe dɔléle siwo womeda o (e.g. chlamydia, gonorrhea) ateŋu ahe abi kple dɔlékuiwo vɛ na vidzidɔ ƒe ʋukawo kple nuto siwo ƒo xlãe (salpingitis). Esia ate ŋu ana abi nanɔ ʋukaawo ŋu, woaxe, eye afɔku si le fufɔfɔ le vidzidɔa godo me nadzi ɖe edzi. |
| Hydrosalpinx si woyɔna be Hydrosalpinx | Dɔlékui xoxo aɖe alo amekoko ate ŋu ana mɔ̃a ƒe nuwuwu naxe, si ana tsi nayɔ eme eye wòana mɔ̃a navuvu. Esia ate ŋu ado kplamatse azi kple tsinyenye ƒe ʋuʋu to mɔ̃a me. |
| Fibroids ƒe dɔléle | Togbɔ be esiawo dzɔna zi geɖe le vidzidɔa me hã la, woate ŋu adzɔ ɣeaɖewoɣi le vidzidɔa gbɔ eye woate ŋu amimi ʋukaawo ahaxe wo. |
| Dɔdzẽ si le vidzidɔ me | Esia mebɔ kura o, gake wova kpɔe nyitsɔ laa be kansa aɖewo siwo wokpɔ va yi be wonye azigolo me dɔdzẽ dzea egɔme tso vidzidɔ me ŋutɔŋutɔ. |
Ðe wòanya wɔ be woafɔ fu kple vidzidɔ ƒe mɔ̃ ɖekaa?
Esia nye nyabiase si le ame geɖe si. Ŋuɖoɖoae nye be, ẽ, anya wɔ godoo!
Woate ŋu adzi ame kple vidzidɔ ƒe ʋuka ɖeka ko. Alo le kpɔɖeŋu me, fufɔfɔ si mele vidzidɔa godo o, ɖewohĩ woɖe mɔ̃ ɖeka ɖa to amekoko me. Ne vidzidɔ ƒe mɔ̃ ɖeka ya teti si le lãmesẽ me kple azigolo si do ƒome kplii le asiwò , eye wò dzinukpɔkpɔ nɔa edzi yim edziedzi la, mɔnukpɔkpɔ nyui aɖe asu asiwò be nàfɔ fu.
Azɔ hã, le amesiwo woɖe vidzidɔ ƒe ʋuka eveawo alo xe gɔ̃ hã gome la, mɔ aɖewo li siwo dzi woato adzi vi kple mɔ̃ɖaŋununya ƒe ŋgɔyiyi egbea. In Vitro Fertilization (IVF) ye nye egbɔkpɔnu nyuitɔ kekeake na ame mawo. Le mɔnu sia me la, wodoa azi kple tsinyenye ɖe ŋutilãa godo eye wotsɔa fugboe si dona tso eme la dea vidzidɔa me tẽ, si wɔnɛ be mehiã be woatsɔ vidzidɔa ƒe ʋukawo o.
Mɔ siwo dzi nàto alé ŋku ɖe wò vidzidɔ ƒe lãmesẽ ŋu
Ne fufɔfɔ le sesẽm na wò la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàlé ŋku ɖe wò vidzidɔ ƒe ʋukawo ŋu be woxe hã. Dodokpɔ vevi geɖewo li wozãna tsɔ wɔa esia.
| Dodokpɔa ƒe ŋkɔ | Kpuie ko la, nukae dzɔna ɖe esia dzi? |
|---|---|
| Hysterosalpingogram (HSG) ƒe dodokpɔ . | X-ray dodokpɔ aɖe. Wotsɔa tsi tɔxɛ aɖe (amadede) toa vidzidɔa me yia vidzidɔa kple vidzidɔ me, eye woɖea foto X-ray. Ne womexe mɔ̃awo o la, woate ŋu akpɔ tsi sia wòanɔ sisim to mɔ̃awo me ayi ƒodoa me. Ne wotu mɔ̃awo la, tsi la meʋãna wu teƒe ma o. |
| Saline-infusion sonography (SIS) ƒe fotoɖeɖe . | Ultrasound ƒe fotoɖeɖefia. Esia bia be woatsɔ dzetsi ade vidzidɔa me eye woazã fotoɖemɔ̃a atsɔ akpɔ vidzidɔa ƒe eme kple alesi vidzidɔa ƒe ʋuʋu le la ƒe susu. |
| Laparoscopy ƒe dɔwɔwɔ | Esia nye amekoko sue aɖe. Le alɔ̃dɔdɔ vɔ megbe la, woɖea nu sue aɖe ɖe ƒodoa me, eye wotsɔa dɔwɔnu sue aɖe si me fotoɖemɔ̃ le dea eme be woatsɔ ŋku alé ŋku ɖe vidzidɔa, vidzidɔ, kple azigolowo ŋu. Esiae nye mɔ nyuitɔ si dzi woato akpɔ kuxiwo abe mɔ̃ siwo xe kple vidzidɔ me dɔléle ene hã. Ne ehiã la, woate ŋu aɖe aŋe suesuesuewo ɖa le ɣeyiɣi ɖeka me. |
Atikewɔwɔ na vidzidɔ ƒe kuxiwo
Atikewɔwɔ ƒe mɔnuwo toa vovo le kuxi si wokpɔ la nu.
- Tubal Cannulation: Ʋuʋudedi:Le HSG dodokpɔa me la, wozãa ka tsɛ aɖe tsɔ dzea agbagba be yewoaʋu mɔxenu sue si le mɔ̃a ƒe nuwuwu si te ɖe vidzidɔa ŋu wu.
- Laparoscopic Surgery: Le laparoscopy me la, woate ŋu aɖe nusiwo lé ɖe vidzidɔa ƒe ʋukawo ŋu la ɖa, woate ŋu aɖe endometriosis ƒe nusiwo le eme la ɖa, alo woate ŋu aʋu fallopian tube si xe (`Salpingostomy`) alo aɖee (`Salpingectomy`) le Hydrosalpinx gome.
- Tubal Ligation Reversal: Ne nyɔnu si wobla tubal ligation na vidzidzi nu va yi di be yeadzi vi bubu la, ate ŋu adze agbagba agbugbɔ aƒo ka eve siwo wotso la to amekoko me. Ke hã, esia mekpɔ dzidzedze 100% o.
- In Vitro Fertilization (IVF): Ne mɔ̃awo gblẽ vevie alo amekokoa mewɔ dɔ o la, IVF mɔ̃ɖaŋununyae nye egbɔkpɔnu nyuitɔ kekeake.
Nusiwo míate ŋu awɔ be vidzidɔa nanɔ lãmesẽ me
Togbɔ be míate ŋu aɖu nɔnɔme aɖewo dzi o, abe vidzidɔ me dɔléle ene hã la, nanewo li míate ŋu awɔ atsɔ akpɔ míaƒe vidzidɔ ƒe ʋukawo ta tso dɔlékuiwo xɔxɔ me. Nusi koŋ gbɔ ʋukawo ƒe gbegblẽ tsonae nye akɔta ƒe dɔdzẽ (PID), si tso gbɔdɔdɔ ƒe dɔlékui siwo womeda dɔ na o (STIs) gbɔ .
Eyata ɖokuiwò takpɔkpɔ tso gbɔdɔdɔ ƒe dɔlélewo me to gbɔdɔdɔ dedie (e.g., kɔndɔm zazã) kple gbɔdɔdɔ kple zɔhɛ ɖeka si dzi nèka ɖo ko me nye nu nyuitɔ kekeake si nàte ŋu awɔ be wò vidzidɔ ƒe lãmesẽ nanɔ anyi.
Ne dzesiwo abe tsi si dona le vidzidɔ me si mesɔ o, ƒodo ƒe vevesese, alo vevesese le gbɔdɔdɔ me ene le ŋuwò la, mègakpe ŋu alo ahe ɖe megbe o, eye nàkpɔ ɖɔkta enumake . Atikewɔwɔ kaba ate ŋu axe mɔ na nusiwo agblẽ le mɔ̃awo ŋu tegbee tso nɔnɔmewo abe PID ene gbɔ.
Gbedasi si Wotsɔ Yi Aƒeme
- Vidzidɔ ƒe ʋukawo nye tɔdzisasrã vevi aɖe si tsɔa aziwo tso azigolowo me yia vidzidɔa me, afisi vidzidzi dzɔna le. Woƒe lãmesẽ me nɔnɔ le vevie na fufɔfɔ le dzɔdzɔme nu.
- Vidzidɔ ƒe ʋuka siwo xe alo gblẽ nye nu vevi aɖe si nana ame megate ŋu vidzia vi o.
- Fufɔfɔ le vidzidɔa godo nye atikewɔwɔ kpata si ate ŋu adzɔ le vidzidɔa me eye ate ŋu ade ame ƒe agbe afɔku me gɔ̃ hã.
- Ƒo asa na gbɔdɔdɔ ƒe dɔlékuiwo (STI) to gbɔdɔdɔ dedie wɔwɔ me nye mɔ nyuitɔ si dzi nàto akpɔ ɖokuiwò ta tso vidzidɔ me dɔlékuiwo me.
- Ne fufɔfɔ le megbe yim alo nèsusu be kuxi aɖe le wò vidzidɔ ƒe ʋukawo ŋu la, ele vevie ŋutɔ be nàƒo nu kple wò ɖɔkta ahadi dodokpɔ kple atikewɔwɔ siwo hiã.
- Ne vidzidɔ ƒe ʋukawo gblẽ gɔ̃ hã la, mɔnukpɔkpɔ li egbea be vidadanyenye ƒe drɔ̃ea nava eme to egbegbe mɔ̃ɖaŋununyawo abe IVF ene dzi.
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